Teresa Valliere LCSW, LADC, CCS

NPI 1902974116 - Counselor - 101YA0400X

NPI Details
NPI 1902974116
Gender Female
Enumeration Date 12/04/2006
Last Updated 01/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
575 FOREST AVE
PORTLAND ME, 04101-1513, US
Phone (207) 772-1187
Fax
Business Location
57 REVERE ST
APT 1
PORTLAND ME, 04103-4042, US
Phone (207) 773-2925
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Maine
License Number LC2384
Remove 1902974116 NPI Number
 

According to our database, Teresa Valliere LCSW, LADC, CCS NPI is 1902974116, taxonomy code is 101YA0400X and license number is LC2384, license state is located at Maine. Teresa Valliere LCSW, LADC, CCS physically located at 575 Forest Ave, Portland ME, 04101-1513. NPI Number Teresa Valliere LCSW, LADC, CCS has the Individual type.

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1902974116 NPI number is provided on an as is basis without warranty of any kind. 1902974116 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Valliere LCSW, LADC, CCS are for informational purposes only.